# GUEY C MARK M D INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295982734
- **Authorized official:** DR. GUEY C MARK (PRESIDENT OF GUEY C MARK M D INC)
- **Authorized official phone:** (209) 463-2180

## Contact information

- **Practice address:** 1072 W. MONTEREY AVENUE, STOCKTON, CA 95204-3031
- **Practice address phone:** (209) 463-2180
- **Mailing address:** 1072 W. MONTEREY AVENUE, STOCKTON, CA 95204-3031
- **Mailing address phone:** (209) 463-2180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C191890 | CA | Yes |

## Other

- **Enumeration date:** 08/27/2008
- **Last updated:** 08/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00C191890 | — | CA |